DR. KEITH ALLEN WAGNER (NPI# 1659605541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659605541 |
| Entity Type | Individual |
| Full Name | DR. KEITH ALLEN WAGNER |
| Other Name | DR. KEITH ALLEN WAGNER |
| Credential | D.C. |
| Practice Address |
5716 Ammons St Arvada CO 80002-2424 |
| Practice Telephone | 3039400666 |
| Practice Fax Number | 3039406320 |
| Mailing Telephone | 3039400666 |
| Mailing Fax Number | 3039406320 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3161 | CO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760958300 | Keith Aloysius Wagner | Pharmacist | 950 15th St Rm 1c-104c, Augusta, GA 30901-2608 | 2018-10-22 |
| 1881295707 | Keith Clare Wagner | Behavior Technician | 51145 Nicolette Dr, Chesterfield, MI 48047-4585 | 2020-11-06 |
| 1760047112 | Keith Dineen Wagner | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2019-05-01 |
| Street Address |
5716 AMMONS ST |
| City | ARVADA |
| State | CO |
| Zip Code | 80002-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578036679 | Mountain Valley Mental Health, LLC | Nurse Practitioner | 5400 Ward Rd Building V, Suite 110, Arvada, CO 80002 | 2019-01-10 |
| 1013407865 | University of Colorado Hospital Authority | Clinic/Center | 9505 Ralston Rd., Arvada, CO 80002 | 2018-05-17 |
| 1023513793 | Kent Lamountdo Jones | Behavior Technician | Aspen Business Park 5400 Building II Suite G-101, Arvada, CO 80002 | 2018-03-26 |
| 1023536638 | Jennifer Rindt | Pharmacist | 5656 Ward Way Unit A, Arvada, CO 80002 | 2017-09-03 |
| 1396273884 | Rocky Mountain Physicians Group, PC | Clinic/Center | 9250 Ralston Rd, Arvada, CO 80002 | 2017-05-26 |
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1003355173 | Ohana Service Agency | Foster Care Agency | 8600 Ralston Rd # L103, Arvada, CO 80002 | 2017-02-22 |
| 1053863738 | Parker Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 6055 West 55th Place, Arvada, CO 80002 | 2016-10-28 |
| 1316397433 | Cortez Harvey | Counselor | 5275 Marshall St Ste 101, Arvada, CO 80002 | 2016-06-20 |
| 1013311216 | Peter J Dahlberg | Nurse Practitioner | 5400 Ward Rd Ste 110, Arvada, CO 80002 | 2014-10-16 |
| Find all providers in zip 80002 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194193391 | Joshua Katcher | Chiropractor | 8390 W 87th Dr Apt B, Arvada, CO 80005-4826 | 2015-09-04 |
| 1205263001 | Elite Performance Chiropractic, Pllc | Chiropractor | 16255 W 64th Ave, Unit 3, Arvada, CO 80007-7400 | 2013-10-11 |
| 1922346915 | Ashley L Saylor | Chiropractor | 10050 Ralston Rd. Suite E, Arvada, CO 80004 | 2013-01-25 |
| 1316281025 | Jamie C Zajac | Chiropractor | 8123 W 51st Pl, Unit 304, Arvada, CO 80002-4350 | 2012-11-19 |
| 1104185974 | Julie Henderson | Chiropractor | 7878 Wadsworth Blvd Ste 200, Arvada, CO 80003-2121 | 2012-05-14 |
| 1811267669 | Michael Louis Viscarelli | Chiropractor | 7450 W 52nd Ave # 332, Arvada, CO 80002-3747 | 2012-01-11 |
| 1255639092 | Thomas H Caley V | Chiropractor | 9972 W 86th Ave, Arvada, CO 80005-1258 | 2011-03-03 |
| 1437463320 | Steven D. Walker | Chiropractor | 7597 W 66th Ave, Ste. 201, Arvada, CO 80003-3963 | 2010-08-03 |
| 1356654370 | Center for Chiropractic Healing Pllc | Chiropractor | 9428 W 58th Ave, Arvada, CO 80002-2004 | 2010-07-19 |
| 1700115953 | Vitality Chiropractic, Inc. | Chiropractor | 8640 Jellison St, Arvada, CO 80005-5185 | 2009-12-17 |
| Find all providers in ARVADA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.